GTP gs increases Na v 1.8 current in small-diameter dorsal root ganglia neurons

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1 Exp Brain Res (2003) 152: DOI /s RESEARCH ARTICLE Carl Y. Saab Theodore R. Cummins Stephen G. Waxman GTP gs increases Na v 1.8 current in small-diameter dorsal root ganglia neurons Received: 18 February 2003 / Accepted: 17 June 2003 / Published online: 24 July 2003 Springer-Verlag 2003 Abstract Tetrodotoxin-resistant (TTX-R) sodium current in small-size dorsal root ganglia (DRG) neurons is upregulated by prostaglandin E 2 and serotonin through a protein kinase A (PKA)/protein kinase (PKC) pathway, suggesting G protein modulation of one or more TTX-R channels in these neurons. Recently, GTP gs, a hydrolysisresistant analogue of GTP, was shown to increase the persistent current produced by the TTX-R Na v 1.9. In this study, we investigated the modulation of another TTX-R channel, Na v 1.8, by GTP gs in small-diameter DRG neurons from rats using whole-cell voltage clamp recordings. Because it has been suggested that fluoride, often used in intracellular recording solutions, may bind to trace amounts of aluminum and activate G proteins, we recorded Na v 1.8 currents with and without intracellular fluoride, and with the addition of deferoxamine, an aluminum chelator, to prevent fluoride aluminum binding. Our results show that GTP gs (100 M) caused a significant increase in Na v 1.8 current (67%) with a chloride-based intracellular solution. Although the inclusion of fluoride instead of chloride in the pipette solution increased the Na v 1.8 current by 177%, GTP gs further increased Na v 1.8 current by 67% under these conditions. While the effect of GTP gs was prevented by pretreatment with H7 (100 M), a non-selective PKA/PKC inhibitor, the fluoride-induced increase in Na v 1.8 current was not sensitive to H7 (100 M), or to inclusion of deferoxamine C. Y. Saab T. R. Cummins S. G. Waxman Department of Neurology and PVA/Eastern Paralyzed Veterans Association Neuroscience Research Center, Yale Medical School, New Haven, CT 06510, USA C. Y. Saab T. R. Cummins S. G. Waxman Rehabilitation Research Center, VA Connecticut Healthcare Center, West Haven, CT 06516, USA S. G. Waxman () ) Department of Neurology, LCI-70 7, Yale University School of Medicine, 333 Cedar Street, PO Box , New Haven, CT 06520, USA stephen.waxman@yale.edu Tel.: Fax: (1 mm) in the intracellular solution. We conclude that G protein activation by GTP gs increases Na v 1.8 current through a PKA/PKC mechanism and that addition of fluoride to the pipette solution further enhances the current, but is not a confounding variable in the study of Na v 1.8 channel modulation by G proteins independent of a PKA/PKC pathway or binding to aluminum. Keywords Na v 1.8 current Tetrodotoxin-resistant sodium channels G proteins Protein kinase A Protein kinase C Fluoride Introduction Voltage-gated sodium channels (VGSC) underlie the initiation and propagation of action potentials that are fundamental for communication between excitable cells. Intracellular signaling molecules can modulate VGSC and the sodium currents they produce, impacting on the biophysical properties of excitable cells and their responses to external and internal stimuli. Many studies indicate that VGSC can be modulated by G proteins. For example, direct activation of G proteins causes an increase in the sodium current (I Na ) produced by the Na v 1.2 channel (Ma et al. 1994), whereas activation of muscarinic and dopamine D 1 /D 2 receptors was also reported to modulate I Na through G proteins (Cohen- Armon et al. 1988; Surmeier and Kitai 1993). In studies related to inflammatory pain, much effort has been invested in understanding the effects of inflammatory mediators and vasoactive neuropeptides on VGSC in primary afferent neurons. Serotonin, for example, which is an important neurotransmitter in pain processing, increases tetrodotoxin-resistant (TTX-R) sodium current through a camp-dependent pathway, and lowers the activation threshold of sensory neurons in dorsal root ganglia (DRG) (Cardenas et al. 2001). The pro-inflammatory mediator prostaglandin E 2 (PGE 2 ) increases the magnitude of TTX-R I Na and induces a negative shift in the voltage-dependent activation of the slowly inactivat-

2 416 ing TTX-R I Na through a camp protein kinase A (PKA)/ protein kinase C (PKC) pathway (England et al. 1996; Gold et al. 1998). Endothelin-1 (ET1), which evokes a nociceptive behavior, also amplifies the slowly inactivating I Na and induces hyperpolarizing shifts in the voltagedependent activation of TTX-R sodium channels (Zhou et al. 2002). Therefore, the modulation of VGSC in response to noxious stimuli or inflammation is arguably mediated, at least in part, through G proteins. GTP-binding proteins represent a family of regulatory molecules. Binding of GTP to the G a subunit leads to subsequent dissociation of the active G a GTP and G bg subunits. Both subunits can further regulate the activity of ion channels (Ca 2+ and K + channels; for a review, refer to Dascal 2001) either directly or indirectly through second messenger systems (e.g., protein kinases). G proteins can thus function as active (G a GTP) or inactive switches in their GTP- or GDP-bound forms, respectively, due to an inherent GTPase activity (Brito et al. 2002). The hydrolysis-resistant analogue GTP gs mimics the extended effects of GTP and persistently activates G proteins. On the other hand, the non-hydrolyzable GDP bs mimics GDP action by switching G proteins to the inactive form. Recently, Baker et al. (2003) reported that GTP gs increases the peak amplitude of the TTX-R Na v 1.9 persistent current by 3- to 8-fold, and results in a more negative threshold for the induction of action potentials. In this study, we investigated the modulation of Na v 1.8 channels by GTP gs in rat small diameter DRG neurons using the whole-cell voltage-clamp technique. Because it was noted in previous reports that fluoride, a common component used in the pipette solution, might bind to trace amounts of aluminum and activate G proteins (Codina and Birnhaumer 1994; Matzel et al. 1996; Chen and Penington 2000), we used different pipette solutions with or without fluoride, or in the presence of an aluminum chelator. In this study, we show that GTP gs significantly increases Na v 1.8 current through a PKA/PKC-dependent mechanism to the same extent in the presence or absence of fluoride in the pipette solution. Moreover, the presence of fluoride in the pipette solution was also associated with a further increase in the current independent of a PKA/ PKC activation. Methods DRG cultures from L4, L5 and L6 ganglia of male adult Sprague Dawley rats ( g) were prepared as previously described (Rizzo et al. 1994). A class of relatively peptide poor C-fiber nociceptors have been shown to express receptors for glial cell linederived neurotrophic factor (GDNF), and a surface carbohydrate group that binds IB4 (Vulchanova et al. 2001; Dirajlal et al 2003). We used IB4 to identify this sub-population of C-fiber DRG neurons that were in the small-diameter range (15 25 m). For colocalization of IB4-reactivity and the Na v 1.8 channel, IB4-FITC (40 g/ml; Sigma, St. Louis, MO, USA) was added to the culture medium and incubated for 30 min at 37C prior to beginning the immunostaining with anti-na v 1.8 antibody as previously described (Black et al. 2000). Coverslips were mounted on glass slides and examined with a Nikon E800 light microscope equipped with epifluorescent optics. Digital images were captured with a Dage- MTI DC-330 color camera (Michigan City, IN, USA), and the Na v 1.8 immunofluorescent signal in IB4-positive DRG neurons was quantified with IPLab software (Scanalytics, Fairfax, VA, USA). Na v 1.8 currents were recorded using standard whole-cell patchclamp techniques from IB4-positive DRG neurons (15 25 m) in the presence of TTX (500 nm) after short-term culture (6 24 h). All recordings were conducted at room temperature (~21C) using an EPC-9 amplifier (HEKA Electronics) and the Pulse program (version 7.89). Fire-polished electrodes ( MW) were made from 1.7-mm capillary glass using a Sutter P-97 puller, and voltage errors were minimized using series resistance compensation (~85%) with linear leak subtraction. The pipette solution contained (in mm): 1 EGTA, 10 NaCl, 10 HEPES, and either 140 CsF (fluoride solution), or 140 CsCl (chloride solution). The standard bathing solution contained (in mm): 140 NaCl, 3 KCl, 1 MgCl 2,1 CaCl 2, 0.1 CdCl 2 (for blocking calcium currents), and 10 HEPES. The osmolarity of both solutions was adjusted to ~310 mosm and the ph to 7.3. All cells were held at Ÿ60 mv and step pulses ranging from Ÿ50 to 40 mv by10-mv increments were applied for 100 ms to study current voltage relationship (at Ÿ60 mv relatively few TTX-R Na v 1.9 channels are available for activation; Cummins et al. 1999). To study channel inactivation properties (H inf ), the membrane voltage was held at Ÿ100 mv and step prepulses ranging from Ÿ100 to 30 mv for 500 ms were followed by a step pulse to Ÿ10 mv for 20 ms. Activation curves were fitted with the Boltzmann function: G Na =1/(1+exp[(V a ŸV)/k]), where G Na is the peak sodium conductance, V a is the midpoint of the curve, and k is the slope factor. G Na is calculated from G Na =I Na /(VŸV rev ), where I Na is the peak sodium current during the test depolarization (V) and V rev is the sodium reversal potential. Steady-state inactivation curves were fitted with the Boltzmann function: I/I peak =1/ (1+exp[(V-V i )/k]), where I peak is the maximum peak current elicited with the depolarizing voltage steps during the activation protocol, V i is the midpoint of the curve and k is the slope factor. Data were generally collected 2 4 min after membrane rupture for whole-cell recording. In some experiments, GTP gs (100 M) and GDP bs (2 mm; Sigma) were added separately to the pipette solutions and kept on ice, whereas in other experiments, an aluminum chelator (deferoxamine 1 mm; Sigma) was added to the fluoride solution and kept on ice. Some DRG neurons were incubated for 24 h in a medium containing a non-selective isoquinoline sulfonamide protein kinase inhibitor (H7 100 M; Sigma). A Student s two-tailed unpaired t-test was used to compute the significance level between the different groups of neuronal populations (P<0.01 was considered as significant, and results were reported as means SEM). Results In a previous study we found that 33 out of 33 IB4- positive small DRG neurons exhibited TTX-R sodium currents (Fjell et al. 1999). In order to determine what fraction of IB4-positive small DRG neurons express Na v 1.8 channels, we used a Na v 1.8-specific antibody for immunohistochemistry analysis. A total of 158 IB4- positive small-diameter (15 25 m) DRG neurons were quantified for Na v 1.8 signal. Of the 158 neurons, 133 (84.2%) were Na v 1.8-positive (defined as signal intensity at least 30% greater than background level). Accordingly, IB4 was used as a reliable marker for Na v 1.8 expression in the DRG neurons studied, and only IB4-positive smalldiameter (15 25 m) DRG neurons were used for the voltage clamp experiments described below.

3 417 Fig. 1. a Bar histograms showing the average peak Na v 1.8 current amplitudes from IB4-labeled dorsal root ganglion neurons ( SEM) with either GTP gs (100 M) or GDP bs (2 mm) added to the chloride internal solution (*P<0.01 relative to Chloride). b Superimposed traces representing the peak Na v 1.8 currents recorded using the chloride internal solution or chloride and GTP gs Using the chloride intracellular solution, the average peak current amplitude ( p ) was na (n=45). The addition of GTP gs to the chloride solution was associated with an increase in p to na (n=18; Fig. 1). Furthermore, with GTP gs present in the chloride solution, we noted a hyperpolarizing shift in the voltage-dependence of activation (V a ) and a depolarizing shift in the voltage-dependence of inactivation (V i ) of approximately 3 mv in either direction (Table 1, Fig. 3). However, addition of GDP bs to the chloride solution did not alter p significantly ( na, n=7) (Fig. 1), indicating that the basal activity level of G proteins affecting Na v 1.8 channels was presumably insignificant. Using the fluoride intracellular solution, p was na (n=44). The addition of GTP gs to the fluoride solution was associated with a further increase in Fig. 2. a Bar histograms showing the average peak Na v 1.8 current amplitudes from IB4-labelled dorsal root ganglion neurons ( SEM) with either GTP gs (100 M) or GTP gs (100 M) plus the nonselective PKA/PKC inhibitor H7 (100 M) added to the fluoride internal solution (*P<0.01 relative to fluoride, # P<0.01 relative to fluoride+gtp gs ). b Superimposed traces representing the peak Na v 1.8 currents recorded using the fluoride internal solution or fluoride and GTP gs p to na (n=15; Fig. 2). Furthermore, with GTP gs present in the fluoride solution, we noted a hyperpolarizing shift in V a and a depolarizing shift in V i of approximately 4 mv in either direction, comparable to the effects observed using the chloride solution (Table 1, Fig. 3). However, this apparent shift in V a should be carefully interpreted in light of the expected clamp restrictions imposed by such robust current amplitudes, which probably manifested as changes in the slope values derived from the current voltage (I V) curves (Table 1, compare the slope value 4.46x10 Ÿ3 using the fluoride solution with 2.53x10 Ÿ3 after the addition of GTP gs ). On the other hand, when DRG neurons were incubated in the non-selective PKA/PKC inhibitor H7 for ~24 h, the p recorded using the fluoride solution containing GTP gs was significantly reduced to na (n=9, not significantly different from p using the fluoride solution; Fig. 2). Table 1 Values for the voltage of half-activation (V a ), slopes of individual curves (Sl), voltage of current reversal (V rev ), and voltage of inactivation (V i ) were derived from current voltage (I V) or steady-state inactivation (H inf ) curves in four different groups of rat dorsal root ganglion neurons (means SEM) using different internal solutions with chloride, fluoride, or with GTP gs added to either the chloride or the fluoride internal solution (n=5 in each group) Internal solution I-V H inf V a (mv) Sl ( 10 Ÿ3 ) V rev (mv) V i (mv) Sl ( 10 Ÿ3 ) Chloride Ÿ Ÿ Ÿ Chloride+GTP gs Ÿ Ÿ Ÿ Fluoride Ÿ Ÿ Ÿ Fluoride+GTP gs Ÿ Ÿ Ÿ

4 418 Fig. 3a,b Curves representing the voltage dependence of steadystate inactivation (a) or current activation (b) in four different groups of IB4-labelled dorsal root ganglion neurons ( SEM) using different internal solutions with chloride, fluoride, or with GTP gs added to either the chloride or the fluoride internal solution (n=5 in each group) Clearly, p is enhanced using the fluoride solution compared with that in the chloride solution. However, no associated changes were observed in the voltage-dependence of activation or inactivation (Table 1). To test whether the fluoride-induced enhancement of the Na v 1.8 current is also dependent on PKA/PKC activation, p was recorded using the fluoride solution in DRG neurons incubated in H7. While H7 prevented the GTP gs -induced increase, H7 did not prevent the effect of fluoride per se on p ( na, n=4, compare with p of na recorded using the fluoride solution in the absence of H7, see above). Even though aluminum was not included in the fluoride solutions used, deferoxamine was added in one set of experiments to rule out possible binding of fluoride ions with trace amounts of aluminum and subsequent activation of G proteins by AlF Ÿ 4. We did not detect a significant difference in p using the fluoride solution in the absence or presence of deferoxamine (P>0.9, n=8, data not shown). Discussion Although it can be inferred from previous studies that G proteins may be involved in the receptor-mediated modulation of VGSC, this study clearly shows that activation of G proteins is sufficient to increase Na v 1.8 current in small-diameter DRG neurons through a PKA/ PKC-dependent mechanism. In fact, GTP gs increased Na v 1.8 current to the same extent (67%) using intracellular solutions containing either chloride or fluoride. Cardenas et al. (2001) showed a comparable increase (64%) in TTX-R I Na following activation of serotonin receptors that are presumably coupled to G proteins. On the other hand, Gold et al. (1998) described a 25% upregulation of TTX-R I Na by PGE 2, whereas England et al. (1996) showed that PGE 2 frequently increased the current amplitude by only 13%. Apparently, activation of G proteins by GTP gs or serotonin receptors is more effective for the modulation of Na v 1.8 channels than activation by the PGE 2 receptors. Baker et al. (2003) recently reported that GTP gs led to >300% increase in the maximal peak current amplitude of Na v 1.9 channels, indicating differences in the extent to which Na v 1.8 and Na v 1.9 channels may be modulated by G proteins. Hyperpolarizing shifts in the voltage-dependent activation of TTX-R I Na, presumably due to the activation of G proteins, have been previously documented (England et al. 1996; Gold et al. 1998). Comparable changes in voltage-dependent properties in this study were associated with addition of GTP gs to the pipette solutions. However, the hyperpolarizing shift noted when GTP gs was added to the fluoride solution should be carefully interpreted in the light of the slope variance caused by robust currents in the range of nearly na. Such upregulation of Na v 1.8 current would be expected to attenuate the quality of the clamp, in spite of acceptable seal formation and high series resistance compensation. The significant difference in p recorded using the chloride and the fluoride solutions point to an amplification of the Na v 1.8 current by fluoride independently of PKA/PKC. Furthermore, p was not significantly different in the absence or presence of deferoxamine (an aluminum chelator), indicating that the addition of fluoride to the pipette solution results in larger current amplitudes independent of the formation of AlF Ÿ 4. Qu et al. (2000) observed that fluoride promoted the formation of good seals in their patch-clamp experiments but caused an obscure increase in the current amplitude in olfactory receptor neurons. Our data indicate that the presence of fluoride in the pipette solution enhances TTX-R I Na produced by the Na v 1.8 channel, but this does not seem to represent a confounding variable in the study of TTX-R

5 sodium channel modulation by G proteins. In fact, Zhou et al. (2000) were able to demonstrate the modulation of TTX-R I Na by ET1 in the presence of 130 mm CsF in the pipette solution. The rapid increase in current amplitude reported in our study may be due to increases in the probability of opening or conductance in single channels, or increase in the total number of functional channels, but it is unlikely to be related to de novo protein synthesis. Future experiments at a single channel level may help to identify the specific mechanisms involved in the modulation of the Na v 1.8 channel, whereas current-clamp experiments may determine the influence of such modulation on the excitability of peripheral nociceptors, where Na v 1.8 channels tend to be expressed (Akopian et al. 1996; Cummins et al. 1999). Interestingly, calcitonin generelated peptide (CGRP), substance P, adenosine, g- aminobutyric acid (GABA), serotonin, and other neurotransmitters that are released during inflammation may bind to receptors coupled to G proteins (Abdulla et al. 2001; Cardenas et al. 2001; Yang et al 2001), indicating that the potential effects of G proteins on VGSC of the TTX-R type may have important functional implications with regard to pain. References Abdulla FA, Stebbing MJ, Smith PA (2001) Effects of substance P on excitability and ionic currents of normal and axotomized rat dorsal root ganglion neurons. Eur J Neurosci 13: Akopian AN, Sivilotti L, Wood JN (1996) A tetrodotoxin-resistant voltage-gated sodium channel expressed by sensory neurons. Nature 18: Baker MD, Chandra SY, Ding Y, Waxman SG, Wood JN (2003) GTP-induced tetrodotoxin-resistant Na + current regulates excitability in mouse and rat small diameter sensory neurones. J Physiol 548: Black, JA, Dib-Hajj SD, Baker D, Newcombe J, Cuzner ML, Waxman SG (2000) Sensory neuron specific sodium channel SNS is abnormally expressed in the brains of mice with experimental allergic encephalomyelitis and humans with multiple sclerosis. Proc Natl Acad Sci USA 97: Brito M, Guzman L, Romo X, Soto X, Hinrichs MV, Olate J (2002) S111N mutation in the helical domain of human Gsa reduces its GDP/GTP exchange rate. J Cell Biochem 85: Cardenas LM, Cardenas CG, Scroggs RS (2001) 5HT increases excitability of nociceptor-like rat dorsal root ganglion neurons via camp-coupled TTX-resistant Na + channels. J Neurophysiol 86: Chen Y, Penington NJ (2000) Competition between internal AlF 4 Ÿ and receptor-mediated stimulation of dorsal raphe neuron G- 419 proteins coupled to calcium current inhibition. J Neurophysiol 83: Codina J, Birnbaumer L (1994) Requirement for intramolecular domain interaction in activation of G protein a subunit by aluminum fluoride and GDP but not by GTPgS. J Biol Chem 269: Cohen-Armon M, Garty H, Sokolovsky M (1988) G-protein mediates voltage regulation of agonist binding to muscarinic receptors: effects on receptor Na + channel interaction. Biochemistry 12: Cummins TR, Dib-Hajj SD, Black JA, Akopian AN, Wood JN, Waxman SG (1999) A novel persistent tetrodotoxin-resistant sodium current in SNS-null and wild-type small primary sensory neurons. J Neurosci 19:RC43 Dascal N (2001) Ion-channel regulation by G proteins. Trends Endocrinol Metab 12: Dirajlal S, Pauers LE, Stucky CL (2003) Differential response properties of IB 4 -positive and -negative unmyelinated sensory neurons to protons and capsaicin. J Neurophysiol 89: England S, Bevan S, Docherty RJ (1996) PGE 2 modulates the tetrodotoxin-resistant sodium current in neonatal rat dorsal root ganglion neurones via the cyclic AMP protein kinase A cascade. J Physiol 495: Fjell J, Cummins TR, Dib-Hajj SD, Fried K, Black JA, Waxman SG (1999) Differential role of GDNF and NGF in the maintenance of two TTX-resistant sodium channels in adult DRG neurons. Brain Res Mol Brain Res 20: Gold MS, Levine JD, Correa AM (1998) Modulation of TTX-R I Na by PKC and PKA and their role in PGE 2 -induced sensitization of rat sensory neurons in vitro. J Neurosci 18: Ma JY, Li M, Catterall WA, Scheuer T (1994) Modulation of brain Na + channels by a G-protein-coupled pathway. Proc Natl Acad Sci USA 6: Matzel LD, Rogers RF, Talk AC (1996) Bidirectional regulation of neuronal potassium currents by the G-protein activator aluminum fluoride as a function of intracellular calcium concentration. Neuroscience 74: Qu W, Moorhouse AJ, Rajendra S, Barry PH (2000) Very negative potential for half-inactivation of, and effects of anions on, voltage-dependent sodium currents in acutely isolated rat olfactory receptor neurons. J Membr Biol 15: Rizzo MA, Kocsis JD, Waxman SG (1994) Slow sodium conductances of dorsal root ganglion neurons: intraneuronal homogeneity and interneuronal heterogeneity. J Neurophysiol 72: Surmeier DJ, Kitai ST (1993) D 1 and D 2 dopamine receptor modulation of sodium and potassium currents in rat neostriatal neurons. Prog Brain Res 99: Vulchanova L, Olson TH, Stone LS, Riedl MS, Elde R, Honda CN (2001) Cytotoxic targeting of isolectin IB4-binding sensory neurons. Neuroscience 108: Yang K, Wang D, Li YQ (2001). Distribution and depression of the GABA B receptor in the spinal dorsal horn of adult rat. Brain Res Bull 55: Zhou Z, Davar G, Strichartz G (2002) Endothelin-1 (ET-1) selectively enhances the activation gating of slowly inactivating tetrodotoxin-resistant sodium currents in rat sensory neurons: a mechanism for the pain-inducing actions of ET-1. J Neurosci 22:

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